Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessaly, Biopolis, Larissa, Greece.
JBJS Case Connect. 2024 Apr 5;14(2). doi: e22.00585. eCollection 2024 Apr 1.
We describe the surgical management of a girl with dwarfism and congenital spondyloepiphyseal dysplasia, who presented in adolescence with coxa vara and bilateral pseudarthrosis between the femoral neck and the diaphysis, with asymmetric distal migration at both sites and leg length discrepancy. The patient at 16 years underwent valgus osteotomy in situ and femoral neck fixation in the left hip. The right hip was operated 19 months later.
Hip dysplasia is common in spondyloepiphyseal dysplasia, but a debilitating nontraumatic bilateral pseudarthrosis at the base of the femoral neck has not been previously reported. Valgus corrective osteotomies of the femur in situ led to union and allowed the patient to walk.
我们描述了一例患有矮小症和先天性脊椎骨骺发育不良的女孩的手术治疗方法。该女孩在青春期出现髋内翻，且股骨颈与骨干之间双侧假关节，双侧在这两个部位都出现不对称的远端迁移和肢体长度差异。该患者在 16 岁时接受了左侧髋关节的原位外翻截骨术和股骨颈固定术，19 个月后对右侧髋关节进行了手术。
髋关节发育不良在脊椎骨骺发育不良中很常见，但以前从未报道过在股骨颈基部出现使人衰弱的非创伤性双侧假关节。股骨原位的外翻矫正截骨术导致了愈合，使患者能够行走。
